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| == Diagnosis ==
| | #REDIRECT[[Dementia]] |
| DSM-IV Definition:
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| *Major impairment in learning and memory plus impairment in handling complex tasks, impairment in reasoning ability, impaired spatial ability and orientation, or impaired language
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| *Symptoms significantly interfere with work, usual social activities, relationships
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| *Significant decline from previous level of functioning
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| *Disturbances are insidious and progressive
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| *Disturbances are not occurring exclusively during the course of delirium
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| *Disturbances are not accounted for by major psychiatric diagnosis
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| *Disturbances are not accounted for by systemic disease or another brain disease
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| == Work-Up ==
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| #Mini-mental status exam | |
| ##Score less than 24 suggests cognitive impairment
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| ##May be influenced by education and age
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| ###Score less than 29 if greater than 9 years of schooling suggests cognitive impairment
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| ###Score less than 26 if 5-9 years of schooling suggests cognitive impairment
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| ###Score less than 22 if less than 4 years of schooling suggests cognitive impairment
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| #CBC
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| #Chem 10
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| #UA/Utox
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| #ECG, CXR
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| #ETOH
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| #CT/MRI
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| #Consider
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| ##LFTs, TSH
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| ##B12, RPR, ESR, ANA, Folate, Thiamine, HIV
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| ##neuropsych eval
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| ##Consider LP, urine heavy metals, EEG
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| == Treatment ==
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| Give MVI, thiamine, folate
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| == Source ==
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| 7/1/09 PANI (Adapted from Donaldson)
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| [[Category:Neuro]] | |
